Individual provider · Type 1 NPI

Larell C. Van Dyke, DDS

General Practice Dentistry · Pleasant Grove, UT

NPI number 1114961620 Active

Practice location

610 Loader Dr
Pleasant Grove, UT 84062-3116

Mailing address

PO Box 1079
Pleasant Grove, UT 84062-1079

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X133101-9921 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114961620

Larell C. Van Dyke, DDS's National Provider Identifier is 1114961620, issued on Jun 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pleasant Grove, UT. The record was last updated on Jul 13, 2026.